S: Ms. BD, a 33 year-old female who is G2P1, presents with a chief complaint of "feeling OK, however, she is concerned about her hypertension and developing fetus". She reports that her period, which is very regular, was 5 days late and a home pregnancy test yielded a positive result. She has a history of chronic hypertension with no other medical problems, symptoms, or concerns. Her current medications include Prinizide 12.5/20 PO BID. O: Her physical exam is unremarkable. She has a pulse of 74 and a blood pressure of 128/68. Her pertinent lab values are as follows: urine human chorionic gonadotropin (HCG) is positive, potassium (K+) is 4.2, blood urea nitrogen (BUN) is 14, creatinine is 0.6, alanine aminotransferase (ALT) is 29, white blood cells (WBC) is 6.5, hemoglobin (Hgb) is 12.8, hematocrit (Hct) is 39, and platelets are 330,000. A: Pregnant State (Z33) P: Prinizide to be discontinued and replaced with methyldopa 250mg BID. Patient to follow up with obstetrician. Education to be provided on hypertension during pregnancy and Methyldopa side effects. While reviewing this case study, there is additional information that would have been helpful. The patient's allergies weren't provided, which would be needed when prescribing new medications. Also, it
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- Summer '16
- Human chorionic gonadotropin